Provider Demographics
NPI:1639142755
Name:DELLAPIETRA, ANDREW S (DMD)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:S
Last Name:DELLAPIETRA
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:795 FLUSHING AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11206-4107
Mailing Address - Country:US
Mailing Address - Phone:718-963-9500
Mailing Address - Fax:718-963-9553
Practice Address - Street 1:795 FLUSHING AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11206-4107
Practice Address - Country:US
Practice Address - Phone:718-963-9500
Practice Address - Fax:718-963-9553
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY045167-1122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist